a7 rapid fire: implementing medication reconciliation across the continuum - k. trapnell and f....
TRANSCRIPT
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
Synergy for Success:Implementing Medication Reconciliation at
VCH-PHC
BC Patient Safety & Quality Council Quality Forum
March 2012Karin Trapnell
Fruzsina Pataky
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
Overview
• Implementing MedRec on admission across a large complex health organization that spreads across rural and city centres presents with significant challenges
• To be successful requires a new world view of the organization and a strong leadership model in which leaders empower leaders with the support and the freedom to create a new path for change
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
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VCH-PHC at a Glance • 22,000 staff• 556 locations• 13 acute care hospitals• 15 community health centres • 3+million patient days of care• Primary, secondary, tertiary
and quaternary services• Care, teaching, research• Affiliation with universities and
colleges• ≈80,000 admissions /yr
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
Synergy for Success
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
• ……paradox of a living system… Each organism maintains a clear sense of its individual identity within a larger network of relationships that helps shape its identity. Each being is noticeable as a separate entity, yet it is simultaneously part of the whole system
Wheatley, M. (2006). Leadership and the New Science: Discovering Order in a Chaotic World
Synergy for Success
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
Leadership Support
• Vancouver Coastal Health (VCH) and Providence Health Care (PHC) senior leadership team “walk the talk”
• Medication Reconciliation is an organizational strategic directive. “1.3 – To provide the best quality of care -Build a regional medication reconciliation system across the continuum.”
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
Project Structure
• Regional Steering Committee • Executive Steering Committees (VCH & PHC) • TOR and Regional Project Charter
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Regional MedRec Leads Committee
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
Project Structure
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
• The primary goal of the team leads has been to work together to create a regional approach to successfully implement MedRec
• The MedRec team leads created standardized tools and processes for implementation, education, communication, and evaluation to be utilized and adapted at local levels
Team Leads Committee
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
Team Leads Committee
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
Implementation Scope
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
• Implementation plan template• PharmaNet populated forms • Manual forms for all Communities of Care
(CoCs)• Forms for ambulatory care, residential care• Policy • Training module (ppt) • E module on CCRS • Webpage created • Medication safety pamphlet• Data coordination and reporting
Regional Supports
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
• The process for implementing MedRec forces us to connect in ways we haven’t before
• We’re getting to know and appreciate each other’s importance as part of a greater system
• We’ve come to understand the necessity of strengthening our relationships
• We realize to be successful - we need each other!
Learnings
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
• Progress
• Performance
• Outcome
Measures of Success
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
Progress Measures – Residential Care
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
Progress Measures – Acute Care
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
Performance
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
Outcome Measures
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
• Lindsay Bendickson - Clinical Resource Nurse, Professional Practice, Van Community• Renee Bjarnson – Pharmacist, Burnaby Centre for Mental Health & Addiction• Val Cartmel – Team Lead, Coastal Community of Care (to Jan 2012) • Jo Chang - Coordinator of Residential Pharmacy, UBCH - Koerner Pavilion • Chris Foley - Manager, Cambie Older Adult Mental Health Team.• Maylene Fong - Manager - AOA & PC, Evergreen CHC • Debra Halket - GNE, Pharmacy/Nursing PHC • Zoe Krickan - Supervisor - Patient Care Coordinator, Magnolia House• Nadine Lambert - Medication Safety Pharmacist and Medication Reconciliation Coordinator • Melissa Lo - VCH/PHC Regional Medication Safety Coordinator • Mary Marlow - Professional Practice Lead, Addiction Services • Grant McCullough - Practice Consultant, Professional Practice and Nursing• Naomi Monaster - AOA Clinical Applications Support Educator, IMITS - Community Applications • Shelley Novak - Medication Safety Pharmacist, Vancouver• Fruzsina Pataky - Regional Medication Safety Coordinator (to Nov. 11) • Nicola Piggott - Practice Initiatives Coordinator, Richmond MH & A,• Lisa Ramage - Manager - Mental Health & Addiction, Acute, Richmond• Mary Shyng - Medication Safety Pharmacist - Coastal • Jamie Simpson - Team Lead (Clinical) for IMITIS - Primary and Community Care• Karin Trapnell- Regional MedRec Project Manager-Professional Practice-Nursing • Harjender Walia - Clinical Educator Nursing, VA • Heather Wright - AOA Manager, Three Bridges CHC
Medication Reconciliation Team Leads 2011-2012
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Medication Medication ReconciliationReconciliationIt’s about the conversation.
Questions?